1999 Session

Budget Amendments - HB1450 (Member Request)

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Chief Patron: Hall
Dental Care Reimbursement (language only)

Item 335 #7h

Item 335 #7h

Health And Human Resources
Medical Assistance Services, Department of

Page 271, after line 40, insert:
"Z. The Department of Medical Assistance Services shall develop an appropriate reimbursement methodology using data from commercial insurers in order to comply with the General Assembly's directive to the Department to raise dental reimbursement rates to the 85th percentile of usual, customary and reasonable charges.  The Department shall implement the payment system by September 1, 1999.  The Department shall also retain a fee-for-service reimbursement for the delivery of dental services in the managed care system and shall specifically state such in any negotiations or re-negotiations of contracts with managed care vendors.  The Department shall not require dentists who agree to participate in the delivery of Medicaid services to pediatric dental patients to also deliver services to subscribers enrolled in the commercial plan of the managed care vendor."

(This amendment is self-explanatory.)